Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Community/Behavioral Health |
251S00000X |
| NPI Number | 1184009508 |
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| LBN Legal business name | ADVANCED AWARENESS COUNSELING, LLC. | ||||||||
| Authorized official | ELIZABETH MACIAS - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/27/2015 | ||||||||
| Last updated | 07/27/2015 - About 11 years ago | ||||||||
| Identifiers |
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